Tehran University of Medical Sciences Journal of Pharmaceutical Care 2322-4630 6 1-2 2018 12 12 34 36 EN Wei Chern Ang Clinical Research Centre, Ministry of Health Malaysia, Hospital Tuanku Fauziah, Kangar, Perlis, Malaysia. AND Department of Pharmacy, Hospital Tuanku Fauziah, Ministry of Health Malaysia, Kangar, Perlis, Malaysia. AND Department of Pharmacy, Hospital Sultanah Bahiyah, Ministry of Health Malaysia, Alor Setar, Kedah, Malaysia Malathi Sriraman Department of Pharmacy, Hospital Sultanah Bahiyah, Ministry of Health Malaysia, Alor Setar, Kedah, Malaysia. AND Pharmacy Unit, Kuala Lumpur Health Clinic, Ministry of Health Malaysia, Kuala Lumpur, Malaysia 2018 08 05 2018 08 20 Granulomatosis with polyangiitis (GPA) is a granulomatous disorder linked with systemic necrotizing vasculitis with varied initial manifestations. We describe a case of a 49-year-old Malay female patient who gradually developed more symptoms of GPA over the past 14 years. This case emphasizes early detection and optimal treatment to minimize any further complications of GPA. https://jpc.tums.ac.ir/index.php/jpc/article/view/214 https://jpc.tums.ac.ir/index.php/jpc/article/download/214/180